Active NPI
Jon A Kotler, MD
- Nuclear Medicine Physician
- Columbus, OH
National Provider Identifier
1841305851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- ME45823
- Practice address
- 543 Taylor Ave
Columbus, OH 43203-1278 - Phone
- (614) 293-8315
- Fax
- (614) 293-6935
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | ME45823 | FL | Primary |
Addresses
Primary practice location
543 Taylor Ave
Columbus, OH 43203-1278
Mailing address
700 Ackerman Rd
Columbus, OH 43202-1559
Phone (614) 293-8315
Other practice location 1
4725 N Federal Hwy
Nuclear Medicine Dept.
Ft Lauderdale, FL 33308-4603
Phone (954) 776-3207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049209400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- Emory University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4224 Hollywood Blvd
Hollywood, FL 33021-6633
Phone (954) 966-3600
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 267-6650
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME45823 | FL | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Radiology LLC | Nuclear Medicine | Current | Accepting new patients |
| South Florida Medical Imaging, PA | Current | Accepting new patients | |
| National Nuclear Centers, Inc | Current | Accepting new patients | |
| Nuclear Studies of South Florida,P.a. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4224 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 966-3600
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
700 Ackerman Rd
Columbus, OH 43202
Phone (614) 268-7369
543 Taylor Ave
Columbus, OH 43203
Phone (614) 685-3333
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physiological Laboratory
- Hollywood, FL
- NPI 1750377552
-
- Diagnostic Radiology Physician
- Ft Lauderdale, FL
- NPI 1518945575
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
-
- Nuclear Imaging & Therapy Physician
- Boca Raton, FL
- NPI 1144201450
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1841305851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-8315",
"fax_number": "614-293-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 TAYLOR AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432031278",
"telephone_number": "614-293-8315",
"fax_number": "614-293-6935"
}
],
"practiceLocations": [
{
"address_1": "4725 N Federal Hwy",
"address_2": "Nuclear Medicine Dept.",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333084603",
"country_code": "US",
"telephone_number": "954-776-3207",
"fax_number": "954-351-5983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOTLER",
"first_name": "JON",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "FL",
"license": "ME45823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049209400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.